Active NPI
Valley Surgical Cardio-Thoracic Specialists LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tucson, AZ
National Provider Identifier
1336060755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- VALLEY SURGICAL CARDIO-THORACIC SPECIALISTS LLC
- Practice address
- 403 W Cool Dr Ste 103
Tucson, AZ 85704-6551 - Phone
- (520) 296-9790
- Fax
- (602) 953-5466
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia J Mangram, MD
- Title
- Ceo
- Phone
- (602) 996-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
403 W Cool Dr Ste 103
Tucson, AZ 85704-6551
Mailing address
4022 E Greenway Rd Ste 11-191
Phoenix, AZ 85032-4797
Phone (602) 996-4747
National Provider Directory
National Provider DirectoryLocations
4022 E Greenway Rd
Ste 11191
Phoenix, AZ 85032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1336060755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 E GREENWAY RD STE 11-191",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324797",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W COOL DR STE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857046551",
"telephone_number": "520-296-9790",
"fax_number": "602-953-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY SURGICAL CARDIO-THORACIC SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "MANGRAM",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-996-4747",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.